ILA SUKHADIA, MEDICAL, P.C.


Address: 1235 Arden Ave, Staten Island, NY 10312-4148
Phone: 7189483400

ILA SUKHADIA, MEDICAL, P.C. (NPI# 1942461967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942461967
Entity Type Organization
Organization Name ILA SUKHADIA, MEDICAL, P.C.
Other Organization Name JITENDRA SUKHADIA, M.D.P.C. DBA PROGRESSIVE PEDIATRICS
Practice Address 1235 Arden Ave
Staten Island
NY 10312-4148
Practice Telephone 7189483400
Practice Fax Number 7189662560
Mailing Telephone 7189483400
Mailing Fax Number 7189662560
Enumeration Date 2008-06-23
Last Update Date 2019-08-06
Authorized Official Name DR. ILA JITENDRA SUKHADIA (PRESIDENT)
Authorized Official Telephone 7189483400
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
249019 NY Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Jitendra Sukhadia, M.D.P.C. DBA Progressive Pediatrics Former Legal Business Name - Organization
Progressive Pediatrics Doing Business As Name - Organization

Office Location

Street Address 1235 ARDEN AVE
City STATEN ISLAND
State NY
Zip Code 10312-4148

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801869565 Ila Sukhadia Pediatrics 1235 Arden Ave, Staten Island, NY 10312-4148 2006-02-10
1063064129 Valbona Capani Nurse Practitioner 1235 Arden Ave, Staten Island, NY 10312-4148 2019-07-09
1023309382 Sajani J Raman Pediatrics 1235 Arden Ave, Staten Island, NY 10312-4148 2011-04-21
1285785741 Veeraswamy Krishnaraj Pediatrics 1235 Arden Ave, Staten Island, NY 10312-4148 2007-01-12

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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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NPI Name Taxonomy Address Enumeration
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1255663001 Nanette Alexander-thomas Md Clinic/Center 682 Forest Ave, Staten Island, NY 10310-2507 2010-02-04
1396900940 Elaine Shnitkind Md P.C. Clinic/Center 3710 Richmond Ave, Staten Island, NY 10312-3865 2008-07-23

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Competitor

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City STATEN ISLAND
Zip Code 10312

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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